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굴곡 기관지 내시경 시술 중 에피네프린 도포 후 발생한 스트레스성 심근병증 2예

Title
 굴곡 기관지 내시경 시술 중 에피네프린 도포 후 발생한 스트레스성 심근병증 2예 
Other Titles
 Stress Related Cardiomyopathy during Flexible Bronchoscopy 
Authors
 신정아 ; 하지윤 ; 장윤수 ; 안철민 ; 김형중 ; 이병권 ; 김상용 
Issue Date
2013
Journal Title
 Korean Journal of Critical Care Medicine (대한중환자의학회지) 
ISSN
 1229-4802 
Citation
 Korean Journal of Critical Care Medicine (대한중환자의학회지), Vol.28(2) : 127~132, 2013 
Abstract
Flexible bronchoscopy is a safe medical procedure, but the incidence rate of major complications is 0.08-0.3%. Here, we report 2 cases of stress induced cardiomyopathy, which developed immediately after flexible bronchoscopy. Stress related cardiomyopathy was confirmed by EKG, echocardiography, and coronary angiogram. The cardiac functions of these patients were fully recovered with conservative treatment. Although, the pathogenesis of stress related cardiomyopathy is not well understood, post-bronchoscopy tachycardia or arrhythmia is thought to be associated with hypoxemia or catecholamine excess. Because the clinical presentation is quite similar to acute myocardial infarction, discrete evaluations are required for appropriate treatment.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/87289
DOI
10.4266/kjccm.2013.28.2.127
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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